On-Call Nurse Practitioner; Nocturnist

Join the Vital Core Health Strategies Team in Massachusetts!
We’re people who are fueled by passion, not by profit.

Vital Core Health Strategies (VCHS), an industry leader in Correctional Health Care, has an opening for a PRN On-Call Nurse Practitioner at our Regional Office in Hopkinton, MA.

At Vital Core we pride ourselves on retaining and acquiring compassionate, dedicated individuals who are committed to providing quality services. Join our team and experience first‑hand how Vital Core Health Strategies promotes a positive work environment that is based on respect and appreciation of the hard work and dedication of our staff.

• Holiday Pay:
  New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Veteran’s Day, Thanksgiving Day, and Christmas Day
• Medical
• Vision
• Health Savings Account
• Life Insurance
• Short Term/Long Term Disability
• Identity Theft Protection
• Pet Insurance
• Employee Assistance Program and Discount Center
• 401K & Plan Matching
• PTO
• Annual Incentive Bonus
• Dependent Care Flexible Spending Account

The On-Call Nurse Practitioner (NP) provides after-hours clinical coverage for patients across the region, including nights, weekends, and holidays, as assigned. This position is performed remotely through telephonic communication, electronic medical records usage, and clinical consultation with onsite healthcare staff. The On-Call NP is responsible for assessing, triaging, and managing urgent and emergent patient care needs that arise outside of regular business hours.

The role requires sound clinical judgment, rapid decision-making, effective communication, and collaboration with nursing staff, physicians, and operational leadership to ensure safe, timely, and appropriate patient care.

• Triage urgent and emergent patient care concerns via telephone in collaboration with onsite nursing staff.
• Confirm assessment findings and determine the appropriate level of care, including continued monitoring, treatment, provider follow-up, or transfer to a higher level of care.
• Assess acute patient care needs and develop treatment plans consistent with the after-hours scope of practice.
• Provide verbal, telephone, and/or EMR (Electronic Medical Record) orders for licensed onsite staff in accordance with facility policies and regulatory requirements.
• Review and authenticate all verbal and telephone orders in a timely manner.
• Manage urgent medication and treatment needs.
• Review patients transferring from one location to another (e.g., intake, return from hospital/ER, intakes). Reviewing reports or records that are available. Ordering treatments and medications as indicated.
• Review and approve urgent (those not appropriate to wait until normal business hours) non-formulary medication orders placed by On-Call NP or as requested by nursing.
• Complete, review, and correct EMR documentation and orders as instructed.
• Communicate clear treatment recommendations and follow-up instructions to onsite clinical staff.
• Identify patient care concerns requiring follow-up and ensure appropriate communication to the care team responsible.
• Escalate cases involving significant clinical uncertainty, potential mortality, sentinel events, or circumstances exceeding NP scope of practice to the On-Call Physician or Statewide Medical Director.
• Attend required meetings, training, and educational activities.
• Review and respond to email correspondence in a timely manner.
• Perform other duties assigned within the scope of after-hours on-call practice.
• Follow all organizational policies regarding controlled substances, high-risk medications,…